临床早期胃癌单切口腹腔镜远端胃切除术Billroth I型吻合术加抓针器的便利性。

IF 3.2 4区医学 Q2 GASTROENTEROLOGY & HEPATOLOGY Journal of Gastric Cancer Pub Date : 2022-07-01 DOI:10.5230/jgc.2022.22.e24

Jong Won Kim, Joong-Min Park, Kyong-Choun Chi

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引用次数: 0

摘要

目的:为克服单切口腹腔镜胃远端切除术(SILDG)的技术难点，研制了针钳(Endo ReliefTM)辅助SILDG (NASILDG)。在这里，我们比较了SILDG和NASILDG的手术便利性和术后结果。材料和方法:将抓针器插入右上腹部，用于NASILDG。我们回顾性回顾了2015年9月至2018年8月期间由一名外科医生进行的D1 +夹层和delta型Billroth I吻合SILDG或NASILDG的患者。结果:SILDG组(男性，50.0%)和NASILDG组(男性，60.0%)患者分别为10例和15例。无联合手术吻合的NASILDG组手术时间明显缩短。两组患者早期并发症及瘢痕特征无明显差异。结论:在不影响美容效果的前提下，增加抓针器使SILDG更加方便。NASILDG可以作为降低SILDG技术难度的推荐方法。

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Convenience of Adding a Needle Grasper in Single-Incision Laparoscopic Distal Gastrectomy With Billroth I Anastomosis for Clinical Early Gastric Cancer.

Purpose: To overcome the technical difficulties of single-incision laparoscopic distal gastrectomy (SILDG), needle grasper (Endo Relief^TM)-assisted SILDG (NASILDG) was developed. Here, we compared the operative convenience and postoperative outcomes between SILDG and NASILDG.

Materials and methods: A needle grasper was inserted into the right upper abdomen and used in the NASILDG. We retrospectively reviewed patients who underwent D1 + dissection and delta-shaped Billroth I anastomosis with SILDG or NASILDG performed by a single surgeon between September 2015 and August 2018.

Results: The SILDG (male, 50.0%) and NASILDG (male, 60.0%) groups included 10 and 15 patients, respectively. The operative time without combined operation and anastomosis was significantly shorter in the NASILDG group. Early complications and scar characteristics were not significantly different between the two groups.

Conclusions: By adding a needle grasper, SILDG became more convenient without decreasing cosmetic results. NASILDG could be a recommended method to reduce the technical difficulty of SILDG.

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来源期刊

Journal of Gastric Cancer Biochemistry, Genetics and Molecular Biology-Cancer Research

CiteScore

4.30

自引率

12.00%

发文量

期刊介绍： The Journal of Gastric Cancer (J Gastric Cancer) is an international peer-reviewed journal. Each issue carries high quality clinical and translational researches on gastric neoplasms. Editorial Board of J Gastric Cancer publishes original articles on pathophysiology, molecular oncology, diagnosis, treatment, and prevention of gastric cancer as well as articles on dietary control and improving the quality of life for gastric cancer patients. J Gastric Cancer includes case reports, review articles, how I do it articles, editorials, and letters to the editor.